| NPI | 1316601263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 65767) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NM 65767) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-06-14 |